Organization Active NPI

Jennifer Squire PC

  • Community/Behavioral Health Agency
  • Salt Lake City, UT
National Provider Identifier
1649585035
Registry record updated Aug 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
C6715627 Issued in UT
Legal business name
JENNIFER SQUIRE PC
Practice address
7084 S 2300 E
Suite 140
Salt Lake City, UT 84121-3968
Phone
(801) 808-2410
NPI assigned
Aug 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jennifer Squire, LCSW
Title
President
Phone
(801) 808-2410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X C6715627 UT Primary

Addresses

Primary practice location

7084 S 2300 E
Suite 140
Salt Lake City, UT 84121-3968

Mailing address

7084 S 2300 E
Suite 140
Salt Lake City, UT 84121-3968
Phone (801) 808-2410

Other names 1

  • Center for Christian therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Center for Christian Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7084 S 2300 E
Ste 140
Salt Lake City, UT 84121
Phone (512) 788-1132

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281398400000",
    "number": "1649585035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7084 S 2300 E",
            "address_2": "SUITE 140",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841213968",
            "telephone_number": "801-808-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7084 S 2300 E",
            "address_2": "SUITE 140",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841213968",
            "telephone_number": "801-808-2410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER SQUIRE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-10",
        "last_updated": "2010-08-10",
        "status": "A",
        "authorized_official_last_name": "SQUIRE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-808-2410",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "UT",
            "license": "C6715627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Christian therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.